| Doctor Name: | DR. LEONARD DOSTILLIO |
| NPI Number: | 1023169497 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | B1-0000385 |
| Business Practice Address: | 884 Walker Rd Suite 5c Dover, DE - 199042758 |
| Business Phone Number: | 3027347740 |
| Business Fax Number: | 3027347780 |
| Mailing Address: | 108 Gillians Way, WILMINGTON |
| State: | DE |
| Postal Code: | 198033356 |
| Phone Number: | 3027347740 |
| Fax Number: | 3027347780 |
| NPI Enumeration Date: | 01/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | B1-0000385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |